
Transportation as a Litigation Expense in Illinois
Under IRPC 1.8(e), Illinois attorneys may advance medical transport as a reimbursable case expense.
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April 11, 2026 | Otse Amorighoye, NPI #1033989991 | 10 min read

In Illinois, workers' compensation pays for transportation to doctor appointments when a treating physician documents that the injured worker cannot reasonably drive themselves, under 820 ILCS 305/8(a) and the Illinois case law construing it. If you can still drive, you are reimbursed for mileage; if your doctor writes that your injury or medication makes driving unsafe, the carrier is expected to arrange and pay for the ride — ambulatory sedan, wheelchair van, or stretcher. Dream Care Rides runs these trips out of Olympia Fields, IL 60461 for injured workers traveling to orthopedic follow-ups, PT at Shirley Ryan AbilityLab, and imaging at Franciscan Health Olympia Fields. Call (708) 505-6994 and we'll walk you through which ABM intermediary (One Call, MedRisk, Homelink, or Mitchell) your carrier uses.
Yes — Illinois workers' compensation pays for transportation to doctor appointments, with two pathways depending on whether you can drive yourself.
The legal floor for both pathways is 820 ILCS 305/8(a) and the Illinois appellate case law construing the "reasonable and necessary" standard.
Read this carefully: the literal text of 820 ILCS 305/8(a) does not contain the word "transportation" and does not contain the word "travel." The statute talks about "reasonable and necessary" medical services the employer must provide. What gives an injured Illinois worker the right to a ride or a mileage check is the body of Illinois appellate case law construing that standard. The canonical case is General Tire & Rubber Co. v. Industrial Commission, where the Illinois Appellate Court upheld a travel-expense award for a claimant whose treating physician was 90 to 100 miles from home — holding that travel costs for medically necessary treatment fall inside the "reasonable and necessary" medical benefits under the Workers' Compensation Act. Later decisions apply the same reasoning to mileage, taxis, non-emergency medical transportation, and ambulance fare.
The correct formulation is "820 ILCS 305/8(a) and the Illinois case law construing it," with General Tire & Rubber as the starting citation.
If your physician has not restricted you from driving, Illinois workers' comp reimburses you for the miles you drive to authorized treatment. Three rules that catch injured workers off guard:
If this is your situation, you're driving yourself. If you cannot drive, the next section is where your claim changes.
When your treating physician documents that you cannot reasonably drive, the workers' comp carrier is expected to arrange the transportation itself and pay the vendor directly. In Illinois, that happens almost exclusively through four national ABM (Auto Bodily Injury Management) intermediaries. Your carrier is credentialed with one or more, and the ABM is what actually calls a vendor like Dream Care Rides and puts the trip on the schedule:
Dream Care Rides' product for this flow is Insurance Direct — we bill the carrier directly through whichever ABM your adjuster uses. Insurance Direct only unlocks once your treating physician's note is in the carrier's file.
The single gating item for every non-mileage workers' comp ride in Illinois is a signed note from your treating physician documenting inability to reasonably drive. Competitor blog posts skip this step and injured workers get told "no" without knowing why.
Without this document, every ride you book yourself is private pay. With it, every authorized ride is Insurance Direct.
Doctor appointments under Illinois workers' comp cover the full chain of authorized care — physical therapy at Shirley Ryan AbilityLab or Franciscan Health Olympia Fields, specialist consults, imaging and lab work at Advocate South Suburban Hospital Hazel Crest and Ingalls Memorial Hospital Harvey, IMEs, and functional capacity evaluations — all covered when the driving restriction is on file. For a wheelchair van, see our wheelchair transport services in Chicago; for post-surgical restrictions requiring a flat transport position, see stretcher transportation in Chicago. Both are billable through Insurance Direct once the doctor's note is on file.
Already have your doctor's note? Call (708) 505-6994 and we'll help you route the trip through your carrier's ABM (One Call, MedRisk, Homelink, or Mitchell). Ambulatory, wheelchair, and stretcher — we dispatch from Olympia Fields, IL 60461 across the South Suburbs and the City of Chicago.
You are not paying for Insurance Direct rides, but the numbers matter: if the carrier thinks a ride is "too expensive," that's where denials come from. These are the Illinois rates on our Dream Care Rides rate card — ranges only.
| Service | Base Rate | Per Mile |
|---|---|---|
| Ambulatory (sedan/SUV) | $35 – $65 | $2 – $4/mi |
| Wheelchair (ADA van) | $65 – $115 | $3 – $6/mi |
| Stretcher (ambulette) | $300 – $525 | $5 – $16/mi |
Surcharges on both Insurance Direct and private pay: weekends 1.5×, holidays 2.25×, wait time $15 – $30/15min, oxygen $25, stairchair $25. Standing-order PT plans often qualify for a discount. Run a rough estimate with the NEMT cost calculator or call to get an exact quote. Old national averages in the $100 to $200 range for stretcher are not Illinois rates.
If you've hit any of these walls, book private pay and seek reimbursement later — you pay, we drive, we give you a detailed invoice. Book via schedule your ride. See also workers comp transportation in Illinois, the companion post does workers comp cover transportation in Illinois, the paralegal-facing how Illinois law firms pay for client medical transportation, and medical transportation for personal injury clients.
Dream Care Rides is based at 20000 Governors Dr Suite 103H, Olympia Fields, IL 60461, 5.0 across 45+ Google reviews. Our fleet covers ambulatory sedan/SUV, ADA wheelchair vans with Q-Straint four-point tie-down securement, and stretcher-capable ambulettes on door-to-door, door-through-door, and bed-to-bed workflows. For an Insurance Direct trip, get your doctor's note, confirm the ABM with your adjuster, then call (708) 505-6994.
Sometimes, but not usually as the carrier's preferred mode. Illinois carriers generally route authorized transportation through an ABM intermediary (One Call, MedRisk, Homelink, or Mitchell) to a credentialed non-emergency medical transportation vendor, not through a rideshare app. Uber WAV offers curb-to-curb wheelchair rides only in select major cities (not nationwide), and does not provide door-to-door, door-through-door, or stretcher service.
Illinois does not publish a fixed statutory mileage rate. Carriers typically apply the federal IRS business-use rate for the year the trip was taken — ask your adjuster in writing which rate they're applying and submit a monthly log with dates, round-trip miles, and provider.
Get a signed note naming the specific clinical reason and period of restriction, fax or email it to your adjuster the same day, and ask which ABM (One Call, MedRisk, Homelink, or Mitchell) will route the trip. Then call Dream Care Rides at (708) 505-6994 to confirm authorization and schedule.
Yes, when your treating physician has documented that you require wheelchair transportation. Illinois workers' comp covers wheelchair-van rides to PT as part of the "reasonable and necessary" medical benefits under 820 ILCS 305/8(a) and the Illinois case law construing it. Dream Care Rides runs Q-Straint four-point tie-down ADA vans to Shirley Ryan AbilityLab and Franciscan Health Olympia Fields; base rate $65 – $115 with $3 – $6/mi, billed through Insurance Direct.
Confirm in writing that your doctor's note is on file — most denials are missing-documentation problems. If the refusal holds, escalate to the claim supervisor, then to an Illinois workers' comp attorney who can file a petition for penalties with the Illinois Workers' Compensation Commission. While you fight, book private pay so treatment isn't interrupted.
On the mileage-reimbursement pathway, yes — reasonable parking and tolls are reimbursable on top of the per-mile rate. Keep receipts and include them on the monthly log. On Insurance Direct, parking is handled by the vendor and billed into the trip.
Most of the time, yes — especially on a standing order. If your PT plan of care runs three times a week for six weeks, we set up a standing order and assign the same driver whenever schedule and routing allow.
If your physician has documented inability to reasonably drive, your carrier is expected to arrange and pay for transportation to doctor appointments under 820 ILCS 305/8(a) and the Illinois case law construing it. Dream Care Rides runs these trips as Insurance Direct through One Call, MedRisk, Homelink, and Mitchell from Olympia Fields, IL 60461.
Dream Care Rides — 5.0 across 45+ Google reviews. Led by Otse Amorighoye in Olympia Fields, IL 60461.
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Founder & CEO, Dream Care Rides | NPI #1033989991
Licensed NEMT provider headquartered in Olympia Fields, IL.
Important — Not Legal Advice
This page provides general information about medical transportation services. It is not legal advice. Law firms and clients should consult Illinois counsel regarding fee arrangements, IRPC 1.8(e) obligations, and applicable state regulations.

Under IRPC 1.8(e), Illinois attorneys may advance medical transport as a reimbursable case expense.

How an LOP secures medical transport in Illinois PI matters, and when Retainer is cleaner.

Compare Retainer, Firm-Pay, and lien-based medical transport. DCR is explicitly non-lien.

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Yes. Illinois workers' comp pays transport to authorized visits, IMEs, PT, and post-op care.

Yes. Illinois comp must pay reasonable travel for authorized treatment under 820 ILCS 305/8(a).